Individual
LIDIA BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25004SW 107AVE, HOMESTEAD, FL 33032
(786) 556-9959
Mailing address
25004SW 107AVE, HOMESTEAD, FL 33032
(786) 556-9959
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11025400
FL
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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